Organization Active NPI

Donovan W.C.K.Young, DDS, LLC

  • Dental Clinic/Center
  • Honolulu, HI
National Provider Identifier
1073874400
Registry record updated Jun 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
1785 Issued in HI
Legal business name
DONOVAN W.C.K.YOUNG, DDS, LLC
Practice address
1441 Kapiolani Blvd
Suite 803
Honolulu, HI 96814
Phone
(808) 258-3958
NPI assigned
Jun 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Donovan W.C.K. Young, DDS
Title
Owner
Phone
(808) 258-3958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 1785 HI Primary

Addresses

Primary practice location

1441 Kapiolani Blvd
Suite 803
Honolulu, HI 96814

Mailing address

1441 Kapiolani Blvd Ste 803
Honolulu, HI 96814-4404
Phone (808) 258-3958

National Provider Directory

National Provider Directory

Locations

1441 Kapiolani Blvd
Ste 803
Honolulu, HI 96814
Phone (808) 599-0481

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338508800000",
    "number": "1073874400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD STE 803",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144404",
            "telephone_number": "808-258-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD",
            "address_2": "SUITE 803",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96814",
            "telephone_number": "808-258-3958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONOVAN W.C.K.YOUNG, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-01",
        "last_updated": "2012-06-01",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "DONOVAN",
        "authorized_official_middle_name": "W.C.K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-258-3958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "HI",
            "license": "1785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.